Active NPI
Sanford Clinic
Doing business as Sanford Clinic Optical Shop
- Eyewear Supplier
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SANFORD CLINIC
- Doing business as
- Sanford Clinic Optical Shop
- Practice address
- 1621 S Minnesota Ave
Sioux Falls, SD 57105-1743 - Phone
- (605) 328-9220
- Fax
- (605) 328-9221
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1621 S Minnesota Ave
Sioux Falls, SD 57105-1743
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other names 1
- Sanford Clinic Optical Shop
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930096301 | SD | DME Supplier - Physician - General Practice | 0244143824 | Practice locations: Sioux Falls, SD |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Sanford Vascular Associates
- Surgery Physician
- Sioux Falls, SD
- NPI 1194733535
0244143824
-
dba Sanford Health Pathology Clinic
- Clinical Medical Laboratory
- Sioux Falls, SD
- NPI 1326311721
0244143824
-
dba Sanford Health Psychiatry & Psychology Clinic
- Psychologist
- Sioux Falls, SD
- NPI 1396764254
0244143824
-
dba Sanford Clinic Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1912932997
0244143824
-
dba Sanford Virtual Health Services
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
0244143824
National Provider Directory
National Provider Directory- Tax ID family
- Sioux Valley Phys Partn
Other organizations with this tax ID 32
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sanford 69th & Louise Family Medicine
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1104255835
-
dba Sanford Health Lake Lorraine Eye Clinic
- Clinic/Center
- Sioux Falls, SD
- NPI 1164069506
-
dba Sanford Clinic Breast Health Institute
- Radiation Oncology Physician
- Sioux Falls, SD
- NPI 1174537799
-
dba Sanford Medical Genetics Laboratory
- Clinical Medical Laboratory
- Sioux Falls, SD
- NPI 1346410115
-
dba Sanford Acute Care 69th & Minnesota Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1366450835
-
dba Sanford Children's 69th & Louise Clinic
- Pediatrics Physician
- Sioux Falls, SD
- NPI 1386072569
-
dba Sanford Gynecologic Oncology Clinic
- Gynecologic Oncology Physician
- Sioux Falls, SD
- NPI 1396089900
-
dba Sanford Children's Residency Clinic
- Pediatrics Physician
- Sioux Falls, SD
- NPI 1437438306
-
dba Sanford 26th and Sycamore Family Medicine
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1447289343
-
dba Edith Sanford Breast Specialty Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1497163026
-
dba Sanford Health Lake Lorraine Eye Clinic
- Eyewear Supplier
- Sioux Falls, SD
- NPI 1518599562
-
dba Sanford Clinic Gastroenterology
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1518973221
Locations
1621 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 328-9200
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Luther Memorial Home | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2020 Aug 1, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Mayville, ND
- NPI 1497755185
Adp of the SNF, Operational/Managerial Control
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1710919741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051743",
"telephone_number": "605-328-9220",
"fax_number": "605-328-9221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
"authorized_official_telephone_number": "605-328-8380"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sanford Clinic Optical Shop",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sanford Clinic Optical Shop",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sioux Falls, SD
- Sanford Clinic (Sanford Clinic Baker Specialty Orthopedics)
- Sanford Clinic (Sanford Ear, Nose & Throat Clinic)
- Sanford Clinic (Sanford Molecular Imaging Clinic)
- Sanford Clinic (Sanford Neurosurgery and Spine Clinic)
- Sanford Clinic (Sanford Clinic Orthopedics and Sports Medicine)
- Sanford Clinic (Sanford Children's 26th & Sycamore Clinic)
- Sanford Clinic (Childs Voice)
- Sanford Clinic (Sanford Health Lake Lorraine Eye Clinic)
- Sanford Clinic (Sanford Cancer Center - Oncology Clinic)
- Sanford Clinic (Sanford 49th and Oxbow Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.